每年有化气,又有五主运,复有五客运,加以司天,又加以在泉,更有六气之主气,六
气之客气,七者会聚于一时,总以客气所克者受邪,若客气是木,即脾生病也。余仿此。
岁运与司天,相会合为天符,如木运之岁,又遇厥阴风木司天,火运之岁,又遇少
阳相火司天,乃奉天行令,谓之热法,故中其病者,危而速也。
岁运与年支相会值,为岁会,如木运逢寅卯年支,火运逢巳午年支,乃平气,而主
一年,譬方伯之行令,故中其病者,徐而持久也。
岁运与司天及年支三者会合。如火运之岁,遇少阴君火司天,又遇年支是午,即戊
午年也。土运之岁,遇太阴湿土司天,又遇年支是丑未,即己丑己未年也。如金运之岁,
遇阳明燥金司天,又遇年支是酉,即乙酉年也。乃为天符岁会。
又为太乙天符,又为贵人。偏胜之时,故中此偏胜之邪者,暴而死也。又有值其日,而
中其邪,戊子日为天符,戊午日即为太乙也。
(人之鼻气一出一入为息,切脉时数之,即能辨脉)
脉浮轻按可得,浮而旺大为洪,洪而有力为实,浮大迟软为虚,虚大散漫为散,浮
大而软为芤。直硬为弦,浮而弦芤为革。小软如丝为细,浮细为软,细软如无为微。沉
脉重按始得,沉而弦硬为牢,沉至着骨为伏,沉细为弱。一息三至为迟,迟细为涩,迟而
一止为结,一息四至为缓。一息六至为数,数而流动为滑,数而弦硬为紧,数而乱转为动,
数而一止为促,促而一止为代。一息七至为疾。过于本位为长,不及本位为短。宽阔为
大,细狭为小。
每年有化气,又有五主运,复有五客运,加以司天,又加以在泉,更有六气之主气,六气之客气,七者会聚于一时,总以客气所克者受邪,若客气是木,即脾生病也。余仿此。
每年都有化气(由天干决定的岁运之气),又有五个主运(每年分五步运行的正常气候规律),还有五个客运(每年随主运而变的异常气候规律),再加上司天(主管上半年气候的六气之一)、在泉(主管下半年气候的六气之一),以及六气的主气(固定不变的四季气候规律)和六气的客气(逐年变化的加临气候),这七种气化因素汇聚在同一时期。总体原则是:被客气所克制的脏腑容易受到邪气侵袭,如果客气属木,那么脾(土)就会生病。其余情况依此类推。
岁运与司天,相会合为天符,如木运之岁,又遇厥阴风木司天,火运之岁,又遇少阳相火司天,乃奉天行令,谓之热法,故中其病者,危而速也。
当年的岁运(大运)与司天之气相吻合,称为“天符”。例如木运之年,又遇到厥阴风木司天;或火运之年,又遇到少阳相火司天。这是奉行上天命令行事,称为“热法”(指气候炎热暴烈),所以感染这种病邪的人,病情危急且发展迅速。
岁运与年支相会值,为岁会,如木运逢寅卯年支,火运逢巳午年支,乃平气,而主一年,譬方伯之行令,故中其病者,徐而持久也。
当年的岁运与地支年份相符合,称为“岁会”。例如木运遇到寅、卯年,火运遇到巳、午年。这属于平气(平和之气),主宰一整年的气候,好比地方长官行使职权,所以感染这种病邪的人,病情进展缓慢且病程持久。
岁运与司天及年支三者会合。如火运之岁,遇少阴君火司天,又遇年支是午,即戊午年也。土运之岁,遇太阴湿土司天,又遇年支是丑未,即己丑己未年也。如金运之岁,遇阳明燥金司天,又遇年支是酉,即乙酉年也。乃为天符岁会。
当年的岁运、司天之气和地支年份三者同时吻合。例如火运之年,遇到少阴君火司天,又遇到地支为午,就是戊午年。土运之年,遇到太阴湿土司天,又遇到地支为丑或未,就是己丑年或己未年。金运之年,遇到阳明燥金司天,又遇到地支为酉,就是乙酉年。这就构成了“天符”兼“岁会”。
又为太乙天符,又为贵人。偏胜之时,故中此偏胜之邪者,暴而死也。又有值其日,而中其邪,戊子日为天符,戊午日即为太乙也。
这种情况也被称为“太乙天符”,又称“贵人”。这是偏胜之气极盛的时候,所以感染这种偏胜邪气的人,会突然死亡。另外还有遇到特定日期而感染邪气的情况,戊子日是天符日,戊午日则是太乙天符日。
(人之鼻气一出一入为息,切脉时数之,即能辨脉)
(人的鼻息一进一出称为一息,诊脉时计算这个次数,就能辨别脉象)
脉浮轻按可得,浮而旺大为洪,洪而有力为实,浮大迟软为虚,虚大散漫为散,浮大而软为芤。直硬为弦,浮而弦芤为革。小软如丝为细,浮细为软,细软如无为微。沉脉重按始得,沉而弦硬为牢,沉至着骨为伏,沉细为弱。一息三至为迟,迟细为涩,迟而一止为结,一息四至为缓。一息六至为数,数而流动为滑,数而弦硬为紧,数而乱转为动,数而一止为促,促而一止为代。一息七至为疾。过于本位为长,不及本位为短。宽阔为大,细狭为小。
浮脉(Floating Pulse)轻轻按压即可触及。浮而且盛大的是洪脉(Hollow Pulse)。洪而且有力的是实脉(Full/Excess Pulse)。浮大、迟缓、柔软的为虚脉(Deficient Pulse)。虚大、散漫无根的是散脉(Scattered Pulse)。浮大而且中空柔软的是芤脉(Rind-like Pulse)。脉管挺直坚硬的是弦脉(Taut Pulse)。浮取时感觉像弦脉和中空的芤脉结合的是革脉(Drum-skin Pulse)。细小柔软如丝线的是细脉(Fine Pulse)。浮取时细弱的是濡脉(Soft Pulse)。细软无力、若有若无的是微脉(Faint Pulse)。
沉脉(Deep Pulse)需要重按才能触及。沉而且弦硬的是牢脉(Solid Pulse)。沉到贴着骨头才是伏脉(Hidden Pulse)。沉而且细弱的是弱脉(Weak Pulse)。
一呼一吸之间脉搏跳动三次的是迟脉(Slow Pulse)。迟而且细涩的是涩脉(Choppy Pulse)。迟而且偶尔停跳一次的是结脉(Knotted Pulse)。一呼一吸之间脉搏跳动四次的是缓脉(Moderate Pulse)。
一呼一吸之间脉搏跳动六次的是数脉(Rapid Pulse)。数而且流利圆滑的是滑脉(Slippery Pulse)。数而且紧张坚硬的是紧脉(Tight Pulse)。数而且躁动不安、节律紊乱的是动脉(Pulsating Pulse)。数而且偶尔停跳一次的是促脉(Hasty Pulse)。促脉如果停跳后有规律地间歇,则称为代脉(Intermittent Pulse)。
一呼一吸之间脉搏跳动七次的是疾脉(Racing Pulse)。脉势超过本位(寸关尺三部均满)的是长脉(Long Pulse)。脉势不到本位的是短脉(Short Pulse)。脉体宽阔的是大脉(Large Pulse)。脉体细窄的是小脉(Small Pulse)。
Every year there is the transformational Qi (Hua Qi), the five Principal Yuns (Wu Zhu Yun, the normal climatic patterns divided into five phases), and the five Guest Yuns (Wu Ke Yun, abnormal climatic patterns varying annually). Added to these are the Si Tian (Si Tian, one of the Six Qi governing the first half of the year) and Zai Quan (Zai Quan, one of the Six Qi governing the second half of the year), as well as the Principal Qi (Zhu Qi, fixed seasonal climatic patterns) and Guest Qi (Ke Qi, annually changing superimposed climatic patterns) of the Six Qi. These seven factors converge at a specific time. The general principle is that the element controlled by the Guest Qi is susceptible to pathogenic invasion. If the Guest Qi is Wood, then the Spleen (Earth) will become diseased. The rest follows this pattern.
When the Annual Yun (Sui Yun, the Great Movement of the year) coincides with the Si Tian, it is called "Tian Fu" (Heavenly符). For example, in a year of Wood Yun, if Jue Yin Wind-Wood is the Si Tian; or in a year of Fire Yun, if Shao Yang Minister-Fire is the Si Tian. This represents executing orders from Heaven, termed "Re Fa" (Heat Method), indicating intense heat. Therefore, those contracting this disease suffer critically and rapidly.
When the Annual Yun coincides with the Earthly Branch of the year, it is called "Sui Hui" (Year Meeting). For instance, Wood Yun meeting Yin or Mao branches, or Fire Yun meeting Si or Wu branches. This constitutes Ping Qi (Balanced Qi), governing the entire year, akin to a regional governor exercising authority. Thus, those contracting this disease experience a slow onset and prolonged course.
When the Annual Yun, Si Tian, and Earthly Branch all coincide: for example, in a Fire Yun year, if Shao Yin Sovereign-Fire is the Si Tian and the branch is Wu, it is the year of Wu Wu. In an Earth Yun year, if Tai Yin Damp-Earth is the Si Tian and the branch is Chou or Wei, it is the years of Ji Chou or Ji Wei. In a Metal Yun year, if Yang Ming Dry-Metal is the Si Tian and the branch is You, it is the year of Yi You. This forms both "Tian Fu" and "Sui Hui".
This configuration is also known as "Tai Yi Tian Fu" (Great One Heavenly符) or "Gui Ren" (Noble Person). It represents a time of extreme excess. Therefore, those contracting this excessive pathogen may die suddenly. Additionally, there are specific days when contracting the pathogen occurs: the day of Wu Zi is Tian Fu, and the day of Wu Wu is Tai Yi.
(The human breath in and out is one Xi [respiration cycle]. Counting the pulse beats per Xi allows differentiation of the pulse.)
Fu Mai (Floating Pulse) is palpable with light pressure. If floating and vigorous/large, it is Hong Mai (Hollow Pulse). If Hong and forceful, it is Shi Mai (Full/Excess Pulse). If floating, large, slow, and soft, it is Xu Mai (Deficient Pulse). If deficient, large, and scattered, it is San Mai (Scattered Pulse). If floating, large, and soft/hollow, it is Kou Mai (Rind-like Pulse). Straight and hard is Xian Mai (Taut Pulse). Floating, taut, and hollow combined is Ge Mai (Drum-skin Pulse). Small, soft, and thread-like is Xi Mai (Fine Pulse). Floating and fine is Ruan Mai (Soft Pulse). Fine, soft, and faint/non-existent is Wei Mai (Faint Pulse).
Chen Mai (Deep Pulse) is obtained only with heavy pressure. If deep, taut, and hard, it is Lao Mai (Solid Pulse). If deep to the bone, it is Fu Mai (Hidden Pulse). If deep and fine, it is Ruo Mai (Weak Pulse).
Three beats per Xi is Chi Mai (Slow Pulse). If Chi and fine/choppy, it is Se Mai (Choppy Pulse). If Chi and occasionally stopping, it is Jie Mai (Knotted Pulse). Four beats per Xi is Huan Mai (Moderate Pulse).
Six beats per Xi is Shu Mai (Rapid Pulse). If Shu and flowing/smooth, it is Hua Mai (Slippery Pulse). If Shu and taut/hard, it is Jin Mai (Tight Pulse). If Shu and chaotic/turbulent, it is Dong Mai (Pulsating Pulse). If Shu and occasionally stopping, it is Cu Mai (Hasty Pulse). If Cu has regular intervals between stops, it is Dai Mai (Intermittent Pulse).
Seven beats per Xi is Ji Mai (Racing Pulse). Extending beyond its proper position is Chang Mai (Long Pulse). Failing to reach its proper position is Duan Mai (Short Pulse). Broad is Da Mai (Large Pulse). Narrow is Xiao Mai (Small Pulse).